Anas Jebrini, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS103266 Issued in CA

Practice address

6815 Five Star Blvd Ste 110
Rocklin, CA 95677-2691

Phone

(530) 933-1712

NPI assigned

Oct 23, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anas Jebrini DDS PC

  dba Premier Dental & Implant Center

  • General Practice Dentistry
  • Rocklin, CA
  • NPI 1689336711
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1144796632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 FIVE STAR BLVD STE 110",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 FIVE STAR BLVD STE 110",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772691",
            "telephone_number": "530-933-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEBRINI",
        "first_name": "ANAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS103266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "DDS103266",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerzy Jankowski, PT
• Jason a. Scorza, D.D.S. and Heather R. Smith, D.D.S., a.D.C. (Stanford Ranch Family Dentistry)
• Emaan Javed
• Deepa Jayakrishnan, MD
• Samila Jean Pierre
• Lenzi Renee Jenkins
• Jennifer Stone, Marriage and Family Therapy, Inc.
• Jodi Jewell
• Dayanna Michelle Jimenez
• Jacqueline Jimenez

• General Practice Dentistry in Rocklin, CA
• Providers in Rocklin, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.